Kisicki, Michael David

Kisicki, Michael David is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kisicki, Michael David can be contacted via phone (603) 650-7232.

Contact Information

Primary practice address
1 Medical Center Dr Lebanon NH 03756-0001
Phone: (603) 650-7232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A96472 California
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X A96472 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 20272 New Hampshire

Profile Details

NPI number 1407067572
LBN Legal business name Kisicki, Michael David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407067572 NPPES
California Other A96472 MEDICAL LICENSE

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